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1871928556
SHIRLEY GRAVENOR
GERMANTOWN, TN
NPI
1871928556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine Adult Medicine
(Licence: TN MD0000034785)
Enumeration Date
2013-09-12
Last Update Date
2013-09-12
Business Address
DR. SHIRLEY GRAVENOR M.D.
2636 PARK CREEK DR
GERMANTOWN, TN 38139-6556
Phone number: 901-737-7779
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Mailing Address
DR. SHIRLEY GRAVENOR M.D.
2636 PARK CREEK DR
GERMANTOWN, TN 38139-6556
Phone number: 901-737-7779
Copy
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